Are we there yet?

Debra MooreManaging Director – Debra Moore Associates

Aim of the session

• To consider the direction of travel for health services

• To introduce a model and framework that provides a road map to navigate us

There are many ways we could

travel ……

There are many ways we could

travel ……

Throw caution to the wind!

Why do we need a framework or ‘road

map’?

• To be clear about our vision and outcomes or ‘destination’

• To be clear about what we need to do – our ‘road map’ to get us there

• To be clear about our progress or ‘mileage’ towards the destination and to know ‘if we are there yet?’

Horizon scanning

• Changes in commissioning

• Changes in provision

• Changes in demography

• Changes in resource allocation

• Changes in expectations

Decide ……

Sink

Swim

What are the constants – what

are the ‘signposts’?

• What are the words that keep appearing when we talk to people who use services and their families?

• What are the words that appear when we talk to professionals?

• What are the words that appear in policy?

This way

please

Prevention

Quality

Innovation RespectImprovement

Local

Dignity

Rights

Effective

Safe

Inclusion

Choice

Control

Personalised

Challenge inequalities, improve access and promote inclusion

Confirm the direction of travel for health

services:‘what good looks like’

Confirm & ChallengeAn Outcomes Framework

Confirm & Challenge

• Gathers together the objectives and priorities from a range of sources

• Puts it all into a model and self assessment tool

6 Key Principles

Centredness:

person centred services and support 3 Core Outcomes

1. The team plans and delivers care in a person centred way

2. The team works in partnership with the individual and their family

3. The team utilises a range of communication tools and approaches

Dot voting

Community: inclusion and access to local

and mainstream services3 Core Outcomes

1. The team provides people and families with individualised support within their local community

2. The team provides skilled local support and direct interventions to people with complex needs

3. The team works in partnership with wider agencies to support people to access universal and mainstream services

Dot voting

Citizenship: fairness, equality,

dignity and respect2 Core Outcomes

1. The team actively contributes to reducing the health inequalities faced by people with learning disabilities and people with mental health problems

2. The team promotes the legal and civil rights of people with learning disabilities and people with mental health problems

Dot voting

Commissioning: working in partnership to

deliver improved outcomes2 Core Outcomes

1. The team works in partnership, across agencies and sectors, to support the commissioning of inclusive and person centred services and supports

2. The service provided by the team and team priorities, reflect the needs and wishes of the local population

Dot voting

Competence: a capable community3 Core Outcomes

1. The team comprises of staff with appropriate specialist skills and knowledge

2. The team provides training and advice to increase the capacity and confidence of mainstream provision

3. The team works in partnership with people and their families to utilize personal expertise and increase personal effectiveness

Dot voting

Checking: ensuring services are high

quality, effective and safe1 Core Outcome

1. The team has robust performance systems in place that translate policy and best practice into useful metrics that monitor progress and delivery

Dot voting

How did people rate this area?

What do we think it might mean?

What might we do differently?

Table discussions

The process• Communicate intent to undertake self assessment to all key

stakeholders

• Invite key stakeholders to complete online self assessment tool or ‘meet and complete’

• Undertake initial analysis of self assessment responses

• Hold a ‘confirm & challenge’ event – confirm findings and priorities and set local outcome targets

• Action plan

• Implement and monitor action plan

• Feed actions and progress into local mechanisms and groups such as local health and wellbeing boards

Getting from ‘here to there’

• Determining local outcome targets is key

• Work only on a few priorities

• Share the load

• Find the similarities between services – we have more in common than we think

Be a strong link in the chain

• Personal accountability

• Professional accountability

• Remember Six Lives, Ten Lives……..how many more?

Don’t be a fence sitter

• Do something

• Be the change you want to see

Use a ‘good enough’ approach

• Don’t let it get ‘bureaucratic’

• Map out the current data collection systems before you start

• Don’t get too hung up about it being a ‘perfect’ process

• Do the best within current resources

• Be as inclusive as possible – getting the views of those who use services and their families is paramount

Just go for it!

Network

together we are better

Remove barriers

• Improving access, experience and outcomes

Remember when it’s tough……

Further information

Website www.debramooreassociates.com

debra@debramooreassociates.com